Uhlobo lwezigulane ze-aneshesia jikelele ezikhethwa ngexesha lotyando lomhlaza wekoloni lunokuchaphazela amathuba abo okusinda iminyaka phantsi komgwaqo, ngokutsho kophando olwenziwe kwi-2007 yoMbutho we-American Society of Clinical Oncology Annual Meeting. Ukufunyaniswa kwabo kunye nesiphetho kuye kwachasene nalabo bezinye iintlobo zomhlaza. Ukuphonononga okuqhubekayo kwezinye iifundo kufinyelele kwisiphetho esahlukileyo, esibonisa ubuthathaka bokusekela ukhetho lwakho lokufunda.
Iingcamango kukuba ukuxinwa kwi-immune system kunye nokukwazi kwayo ukucoca iiseli zeomhlaza ezikhutshwe ngexesha lotyando lingabangela umbahluko phakathi kobugcisa be-anesthetic. Ukuba i-anesthesia ye-epidural isetyenziselwa ukongeza kwi-anesthesia jikelele, isigulane sidinga unyango oluncinci lwe-opioid ye-relief relief. I-opioids inokukhusela impendulo yokhuselo lomzimba, enokuvumela ukuba ezinye iiseli zomhlaza ziphile kwaye mhlawumbi zikhokelela ekuphindaphinda.
Malunga ne-Anesthesia Research
Abaphandi bajonga iinkcukacha ezivela kwizigulane zomhlaza ze-colon ezingama- 177 ezithathe inxaxheba kwisifundo apho ezinye izigulane zifumana i-anesthesia jikelele (UGA) engapheliyo kunye nabanye bafumana i-anesthesia jikelele (ESGA) engaphantsi kwexesha. Abaphandi abazange baqhube isifundo kunye nabathathi-nxaxheba; benza uhlalutyo kunye nokubala ngokusekelwe kwidatha evela kwelinye isifundo.
Iziphumo
Kuvele umzekelo ocacileyo okhokelela abaphandi ukuba bagqibe ukuba i-UGA iyona ndlela ingcono kune-ESGA ye-colon.
Ngokwenene, i-number-crunching yabo yacacisa ukuba izigulane ezithe zafumana i-ESGA zazikhohlakele kakhulu kwixesha elide (emva kweminyaka engamahlanu) kunezigulane ezikhethwe u-UGA. Bacinga ukuba kungenxa yezinto ezininzi, kuquka ukunciphisa ukuhamba kwegazi kumalungu ngexesha le-ESGA.
Imida
Kukho uninzi lwemingcele apha.
Okokuqala, akukho uphando olunzulu kwesi sihloko. Naliphi na imeko, kubakho ukuqikelela ukugcina isigwebo kuze kuqhutywe ezinye izifundo. Okwesibini, uhlalutyo lwenziwe ngedatha encinane. Ulwazi olufanelekileyo lufumaneke kuphela kubantu abayi-177, elincinci elincinci.
Izifundo kunye nezigqibo ezichaseneyo
Ukuphononongwa kweengxelo ezipapashwe ngo-2015 kwafumanisa ukuba i-anesthesia ye-epidural idibene nenqanaba lokusinda kangcono kwizifundo ezine ezisixhenxe, okuchasene noko kufundwe ngo-2007. Izigulane zomdlavuza eziqhelekileyo zinokuthi zizuze ekusebenziseni i-epidurals. Ngokubanzi, ukuhlaziywa kugqiba ukuba "umbutho phakathi kwe-epidural anesthesia kunye nokusinda komdlavuza kunye nomhlaza womhlaza awucaci." Baphepha ukuba akukho nanye yezifundo ezibandakanya kubonisa impembelelo embi ye-epidurals ekusindeni.
Kuthetha ntoni oku kumguli ojongene nokuhlinzwa? Xoxa ngokukhetha i-anesthesia kunye neqela lakho lezonyango ukuze ufumene ukuba kutheni bacebisa omnye okanye omnye kwimeko yakho.
Imithombo:
UChristopherson, R. kunye noJames, K. "Ukusinda Kwangexesha Elide Emva kokuphelelwa nguKaroncercer Surgery: Uhlobo olujongene noKhetho lweAnesthesia." I-Journal ye-Clinical Oncology 2007 I-ASCO Iintlanganiso Zonyaka Zonyaka (I-Post-Meeting Edition) 25.18S (20 Juni 2007): 17015.
F. Jeroen Vogelaar, uDaan J. Lips, uFrank RC van Dorsten, uValery E. Lemmens noKoop Bosscha. "Impembelelo yendlela yokwenza i-anesthetic ekusindeni komdlavuza wekolon: ukuhlaziywa kweencwadi." Ingxelo ye-Gastroenterology (2015) ngongoma: 10.1093 / gastro / gov001 Ukupapashwa kokuqala kwi-intanethi: Februwari 16, 2015